形内动脉瘤:在第三级神经科学中心的长期结果和治疗风险
Cathal John Hannan1, Adam Nunn1, Gilbert Gravino1,2
1The Walton Centre NHS Foundation Trust, Liverpool, UK.
British journal of neurosurgery
|February 23, 2026
概括
形内动脉瘤 (IAs) 很少进展或破裂,这表明治疗应保留给症状病例. 虽然治疗方法达到高闭塞,但与囊性动脉瘤相比,它们具有显著的发病率.
科学领域:
- 血管神经学 血管神经学
- 干预性神经放射学 干预性神经放射学
- 脑血管外科 脑血管外科
背景情况:
- 形内动脉瘤 (IA) 是一种不常见的血管病变.
- 关于它们的自然历史和最佳管理策略的数据有限.
研究的目的:
- 评估融合型IA的长期结果.
- 评估进展,破裂率和与治疗相关的发病率.
主要方法:
- 对100名患有状IA的患者 (2010-2021) 的回顾性分析.
- 对人口统计,动脉瘤特征,临床过程和治疗结果的分析.
- 后勤回归用于识别进展和并发症的预测因素.
主要成果:
- 在74个月的随访期间,13%的未破裂的状IA进展,1.4%破裂.
- 高封闭率 (96%) 通过流量转移,母血管封闭,支架辅助卷轴或手术实现.
- 在接受治疗的患者中,永久的神经缺陷发生在23%,这一比例高于囊性动脉瘤.
结论:
- 状IA的治疗产生高闭塞率,但患病率很高.
- 由于破裂风险较低,对于未破裂,不进展的状IA来说,可以选择保守的管理.
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